Official source Data mirrored from Centers for Medicare & Medicaid Services Open Payments · General Payments · as published 2026-06-30 View official record Methodology

Covered recipient · General Payments record

NATHAN A HOEKZEMA

Allopathic & Osteopathic Physicians Orthopaedic Surgery Hand Surgery

NPI
1205815164
CMS profile
909719
Location
CLOVIS, CA

General Payments · PY2019–2025

$399,923.02

  • Reported across 292 records
  • CMS publication 2026-06-30

Latest program year · PY2025

$87,799.41

49 records · 0 disputed

Financial relationships do not necessarily indicate an improper relationship; the data is open to interpretation.

How these totals are calculated
  • The total is the sum of the General Payments records CMS published for the labeled program year(s), exactly as published. Nothing is estimated, weighted, or combined across categories.
  • General Payments only. Research and Ownership/Investment are separate datasets and are never summed with these figures; amounts are kept separate per program year.
  • Featured-page threshold (a presentation gate, not a judgment): records>=3 OR total>=100 (all years).
  • Methodology & Data — sourcing, labeling, and limitations.

By nature of payment

PY2025 · sorted by reported total

Nature of paymentAmountRecords
Education $69,100.00 14
Travel and Lodging $13,456.54 6
Food and Beverage $3,115.29 25
Royalty or License $2,127.58 4

By paying entity

PY2025 · sorted by reported total

Paying entityAmountRecords
Skeletal Dynamics Inc $87,221.87 37
AXOGEN $269.32 3
MY01 Inc. $127.35 1
VERTEX PHARMACEUTICALS INCORPORATED $60.29 3
Stryker Corporation $58.64 2
Bioventus LLC $23.24 1
BECTON, DICKINSON AND COMPANY $19.68 1
DAVOL INC. $19.02 1

By program year

All program years on this page · sorted by year

Program yearAmountRecords
PY2019 $20,821.58 23
PY2020 $14,099.56 18
PY2021 $125,839.88 72
PY2022 $38,892.53 31
PY2023 $65,973.18 54
PY2024 $46,496.88 45
PY2025 $87,799.41 49

Payment records · PY2025 (49)

Sorted by paying entity, then date · as published by CMS

Program year 2025 201920202021202220232024 Record-level detail is published for PY2025; earlier years are summarised in “By program year”.
Paying entity Amount Date Nature of payment Dispute status Published Record ID Source
AXOGEN $37.79 06/17/2025 Food and Beverage Undisputed 06/30/2026 1253459191 CMS
AXOGEN $149.31 10/07/2025 Food and Beverage Undisputed 06/30/2026 1253447238 CMS
AXOGEN $82.22 12/30/2025 Food and Beverage Undisputed 06/30/2026 1253450659 CMS
Becton, Dickinson and Company $19.68 12/30/2025 Food and Beverage Undisputed 06/30/2026 1232260280 CMS
Bioventus LLC $23.24 11/21/2025 Food and Beverage Undisputed 06/30/2026 1226856406 CMS
Davol Inc. $19.02 01/03/2025 Food and Beverage Undisputed 06/30/2026 1232219860 CMS
MY01 Inc. $127.35 05/08/2025 Food and Beverage Undisputed 06/30/2026 1241405001 CMS
Skeletal Dynamics Inc $25.93 01/31/2025 Food and Beverage Undisputed 06/30/2026 1192856838 CMS
Skeletal Dynamics Inc $24.90 02/01/2025 Food and Beverage Undisputed 06/30/2026 1192856834 CMS
Skeletal Dynamics Inc $7,200.00 02/04/2025 Education Undisputed 06/30/2026 1192856742 CMS
Skeletal Dynamics Inc $9,600.00 02/28/2025 Education Undisputed 06/30/2026 1225427860 CMS
Skeletal Dynamics Inc $28.47 03/01/2025 Food and Beverage Undisputed 06/30/2026 1192856815 CMS
Skeletal Dynamics Inc $9,600.00 03/04/2025 Education Undisputed 06/30/2026 1192856759 CMS
Skeletal Dynamics Inc $1,185.28 03/18/2025 Travel and Lodging Undisputed 06/30/2026 1192856768 CMS
Skeletal Dynamics Inc $518.87 04/15/2025 Royalty or License Undisputed 06/30/2026 1181551340 CMS
Skeletal Dynamics Inc $61.09 04/23/2025 Food and Beverage Undisputed 06/30/2026 1192856827 CMS
Skeletal Dynamics Inc $24.92 05/02/2025 Food and Beverage Undisputed 06/30/2026 1192856812 CMS
Skeletal Dynamics Inc $85.20 05/03/2025 Food and Beverage Undisputed 06/30/2026 1192856808 CMS
Skeletal Dynamics Inc $7,200.00 05/06/2025 Education Undisputed 06/30/2026 1192856763 CMS
Skeletal Dynamics Inc $67.20 05/31/2025 Food and Beverage Undisputed 06/30/2026 1208700052 CMS
Skeletal Dynamics Inc $19.25 05/31/2025 Food and Beverage Undisputed 06/30/2026 1208700054 CMS
Skeletal Dynamics Inc $7,200.00 06/03/2025 Education Undisputed 06/30/2026 1192856746 CMS
Skeletal Dynamics Inc $471.25 06/30/2025 Royalty or License Undisputed 06/30/2026 1181551338 CMS
Skeletal Dynamics Inc $9,600.00 08/19/2025 Education Undisputed 06/30/2026 1192856775 CMS
Skeletal Dynamics Inc $181.82 09/02/2025 Food and Beverage Undisputed 06/30/2026 1192856819 CMS
Skeletal Dynamics Inc $31.50 09/05/2025 Food and Beverage Undisputed 06/30/2026 1192856842 CMS
Skeletal Dynamics Inc $7,200.00 09/09/2025 Education Undisputed 06/30/2026 1192856779 CMS
Skeletal Dynamics Inc $1,777.77 09/25/2025 Food and Beverage Undisputed 06/30/2026 1206668105 CMS
Skeletal Dynamics Inc $2,888.88 09/25/2025 Travel and Lodging Undisputed 06/30/2026 1206668107 CMS
Skeletal Dynamics Inc $1,333.33 09/25/2025 Travel and Lodging Undisputed 06/30/2026 1206668109 CMS
Skeletal Dynamics Inc $1,825.55 09/25/2025 Travel and Lodging Undisputed 06/30/2026 1206668111 CMS
Skeletal Dynamics Inc $614.18 09/30/2025 Royalty or License Undisputed 06/30/2026 1181551336 CMS
Skeletal Dynamics Inc $778.92 09/30/2025 Travel and Lodging Undisputed 06/30/2026 1192856798 CMS
Skeletal Dynamics Inc $113.92 09/30/2025 Food and Beverage Undisputed 06/30/2026 1192856831 CMS
Skeletal Dynamics Inc $95.78 10/06/2025 Food and Beverage Undisputed 06/30/2026 1192856823 CMS
Skeletal Dynamics Inc $250.00 10/23/2025 Education Undisputed 06/30/2026 1192856750 CMS
Skeletal Dynamics Inc $6,000.00 10/31/2025 Education Undisputed 06/30/2026 1192856784 CMS
Skeletal Dynamics Inc $2,400.00 10/31/2025 Education Undisputed 06/30/2026 1192856788 CMS
Skeletal Dynamics Inc $2,100.00 10/31/2025 Education Undisputed 06/30/2026 1192856791 CMS
Skeletal Dynamics Inc $5,444.58 10/31/2025 Travel and Lodging Undisputed 06/30/2026 1192856803 CMS
Skeletal Dynamics Inc $250.00 11/19/2025 Education Undisputed 06/30/2026 1192856754 CMS
Skeletal Dynamics Inc $250.00 12/08/2025 Education Undisputed 06/30/2026 1192856795 CMS
Skeletal Dynamics Inc $250.00 12/08/2025 Education Undisputed 06/30/2026 1192856849 CMS
Skeletal Dynamics Inc $523.28 12/31/2025 Royalty or License Undisputed 06/30/2026 1181551334 CMS
Stryker Corporation $32.51 07/11/2025 Food and Beverage Undisputed 06/30/2026 1227608046 CMS
Stryker Corporation $26.13 11/21/2025 Food and Beverage Undisputed 06/30/2026 1227608049 CMS
VERTEX PHARMACEUTICALS INCORPORATED $14.18 03/24/2025 Food and Beverage Undisputed 06/30/2026 1213794075 CMS
VERTEX PHARMACEUTICALS INCORPORATED $20.26 12/15/2025 Food and Beverage Undisputed 06/30/2026 1213880308 CMS
VERTEX PHARMACEUTICALS INCORPORATED $25.85 12/15/2025 Food and Beverage Undisputed 06/30/2026 1213950116 CMS

Source & provenance

Dataset
CMS Open Payments — General Payments
Publisher of source data
Centers for Medicare & Medicaid Services
CMS publication date
2026-06-30
Program years on this page
2019, 2020, 2021, 2022, 2023, 2024, 2025
Source files
Dataset page · Bulk file · PY2019 , PY2020 , PY2021 , PY2022 , PY2023 , PY2024 , PY2025
Generated from
OP_DTL_GNRL_PGYR2025_P06302026_06032026.csv

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